Document Detail

Important arterial supply of the mandible, control of an arterial hemorrhage, and report of a hemorrhagic incident.
MedLine Citation:
PMID:  12964796     Owner:  NLM     Status:  MEDLINE    
Penetration of the mandibular cortex during dental implant surgery may damage 3 important arteries and could lead to life-threatening circumstances. To lessen the likelihood of lateral angulations and cortical perforations, dental implants of less than 14 mm may be considered for the mandible. The courses of the inferior alveolar, facial, and lingual arteries and their branches are reviewed. Management of hemorrhage from a branch of the lingual or facial arteries may require an extraoral approach for ligation, because the mylohyoid, sublingual, and submental arteries can anastomose and be anatomically variable as well. A violation of 1 of these may be difficult to manage and lead to a compromise of the airway. A cortical perforation may be avoided by studying the anatomy of the ridge being treated. This article discusses what procedures to perform to obtund bleeding from 1 of these arteries and the technique of performing an emergency tracheotomy.
Dennis Flanagan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of oral implantology     Volume:  29     ISSN:  0160-6972     ISO Abbreviation:  J Oral Implantol     Publication Date:  2003  
Date Detail:
Created Date:  2003-09-10     Completed Date:  2003-11-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801086     Medline TA:  J Oral Implantol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  165-73     Citation Subset:  D    
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MeSH Terms
Arteries / injuries
Hemostatic Techniques*
Mandible / blood supply*
Middle Aged
Molar / surgery
Oral Hemorrhage / etiology*,  therapy*
Postoperative Hemorrhage / etiology,  therapy
Tooth Extraction / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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